Eloquine

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Eloquine

Method of action: Antimalarial, Antiprotozoal

Treatment option: Infection, Malaria

Medically reviewed

Marina Burgos

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Eloquine

Quick Facts

Property Description
Active ingredient Mefloquine hydrochloride
Form Tablet (for oral administration)
Pharmacological class Antimalarial, Blood Schizonticide
General purpose Prevention and treatment of malaria
Origin Synthetic organic compound

What Type of Medicine is Mefloquine?

Mefloquine, the established generic name for the prescription drug associated with the trade name Eloquine, is fundamentally classified as an Antimalarial agent. This synthetic organic compound belongs to the 4-quinolinemethanol derivatives family, a classification chemically linking it to the older anti-malarial compound quinine. It is included on the World Health Organization’s (WHO) List of Essential Medicines for both treatment and chemoprevention of malaria.

Composition and Physical Form of Mefloquine

The primary active substance in the medicine is Mefloquine hydrochloride, which is administered as a single-ingredient product. Mefloquine is typically prepared in the form of tablets for oral administration, defining its delivery method for patients. The tablets contain the Mefloquine hydrochloride salt, with the medicinal strength usually referenced based on the equivalent content of the active Mefloquine base molecule. This product's defining feature is its fixed oral presentation, making it distinct from injectable or intravenous antimalarial treatments.

General Purpose and Mechanism of Action

The essential therapeutic purpose of Mefloquine is to prevent and manage infections caused by the Plasmodium parasites that cause malaria. Clinically, it is used in two primary scenarios: prophylaxis (prevention) for individuals traveling to endemic areas, and for the treatment of acute infections caused by susceptible strains. Mefloquine functions as a blood schizonticide, meaning its action is directed at killing the parasite forms that multiply within the host's red blood cells, thus addressing the acute stage of the illness. This specific activity makes it a component of malaria management, particularly against strains such as Chloroquine-resistant P. falciparum.

Regulatory References

  1. World Health Organization's List of Essential Medicines
  2. Mefloquine: MedlinePlus Drug Information

What side effects are possible with Eloquine?

Possible Side Effects and Safety Information

The safety profile of mefloquine hydrochloride (Eloquine) is formally classified by regulatory authorities, with adverse reactions grouped by frequency and affected organ system. The most critical focus is the Neuropsychiatric Safety Profile, which includes a spectrum of effects on the nervous and psychiatric systems.

According to official regulatory classifications, adverse reactions are grouped as follows:

Frequency Classification Examples of Documented Adverse Reactions
Very Common (ge 1/10) Insomnia, nightmares.
Common (ge 1/100 to < 1/10) Dizziness, headache, nausea, vomiting, abdominal pain, diarrhea.
Uncommon (ge 1/1,000 to < 1/100) Anxiety, depression, tinnitus (ringing in the ears), visual disturbances.
Rare (ge 1/10,000 to < 1/1,000) Seizures/convulsions, psychotic disorders, suicidal ideation and suicidal behavior.

Serious adverse reactions documented in official labeling include severe and persistent neuropsychiatric effects such as anxiety, paranoia, hallucinations, and depression, which have been reported to continue for months or years after discontinuation. The drug is contraindicated for prophylaxis in individuals with a specific history of psychiatric disorders (e.g., active depression, generalized anxiety) or a history of convulsions, reflecting a regulatory restriction based on heightened risk. Furthermore, regulatory documents explicitly note the potential for some neurological and psychiatric effects, such as dizziness and vertigo, to persist long after the medicine has been stopped.

Safety notes also advise caution in patients with impaired liver function and indicate a risk of QTc interval prolongation, particularly when used concomitantly with other heart-affecting medicines.

Overdose and Emergency Response

Overdose with Eloquine (mefloquine hydrochloride) is officially documented to result in an exaggeration of known adverse effects, particularly those affecting the central nervous system (CNS) and the cardiovascular system. Manifestations may include severe neuropsychiatric symptoms such as acute anxiety, confusion, psychotic behavior, hallucinations, and generalized convulsions. Cardiovascular disturbances are noted, potentially involving the prolongation of the QTc interval, arrhythmias, and other transient ECG alterations.

In the event of a suspected overdose, regulatory guidance mandates that a patient must contact a regional poison control centre or emergency department immediately, even if symptoms are not present. Furthermore, if severe psychiatric symptoms—including acute anxiety, confusion, or restlessness—develop during treatment, the medication must be discontinued promptly, as these symptoms can precede a more serious event.

Due to the official regulatory statement that no specific antidote is known, the management of Eloquine overdose focuses on symptomatic and intensive supportive treatment. This must include monitoring of both cardiac function (by ECG) and neuropsychiatric status for a minimum of 24 hours. The risk of convulsions may be heightened in patients with a history of epilepsy, and prolonged drug elimination is a consideration for those with impaired liver function.

Therapeutic Uses of Eloquine

Eloquine (hydroxychloroquine) is commonly used across conditions presenting with acute episodes and recurrent manifestations that produce significant symptomatic burden. The medicine may assist with managing the symptoms of rheumatoid arthritis, the systemic or chronic discoid forms of lupus erythematosus, and uncomplicated malaria. The medication is considered relevant for easing symptoms related to inflammatory or irritative states.

Quick Fact: Support for Symptoms related to inflammatory or irritative states

In clinical settings that involve acute or unstable symptom patterns, the medication contributes to easing the overall symptom load. This supportive care assists with maintaining functional stability when symptoms interfere with daily functioning. As a soft-benefit, the medicine may help patients cope more steadily with symptom fluctuations.

Supports the patient during difficult episodes by easing distress

This supportive management is used in settings marked by temporary physiological imbalance and is often used during phases when symptoms become more noticeable.

Eligibility and Restrictions for Use

Official Eligibility and Non-Eligibility Rules

Mefloquine hydrochloride (Eloquine) is strictly contraindicated for prophylaxis (prevention) in individuals with a known hypersensitivity to the compound or related agents. The medicine must not be prescribed for prophylaxis in patients who have a history of convulsions or major psychiatric disorders, including active depression, generalized anxiety, psychosis, or schizophrenia.

Age and Condition Thresholds

Use is not established in the pediatric population younger than 6 months of age or weighing less than 5 kilograms; children and adults above these thresholds are eligible. While there are no geriatric-specific contraindications, caution is advised for older adults due to the increased likelihood of pre-existing cardiac conduction issues.

Severe hepatic impairment is a labeled contraindication for prophylactic use. Patients with a history of epilepsy should only be prescribed the medicine for curative malaria treatment and are not eligible for prophylaxis. The regulatory profile permits its use during pregnancy and lactation for the prevention and treatment of malaria.

What should I know about interactions with other medicines?

Interactions with Other Medicines and Products (Mefloquine)

Interactions with other products are officially documented based on their effect on heart rhythm, seizure risk, or the concentration of Mefloquine in the body.

Contraindicated and Avoided Combinations

Certain combinations are restricted due to the potential for fatal QTc prolongation (a severe heart rhythm issue). Halofantrine and Ketoconazole are explicitly contraindicated and must not be administered simultaneously or within 15 weeks of the last Mefloquine dose.

Pharmacokinetic and Pharmacodynamic Effects

Interaction Type Examples of Interacting Medicines
Exposure Modification Strong CYP3A4 inhibitors (e.g., Ketoconazole) may increase Mefloquine levels; strong inducers (e.g., Rifampin) may decrease levels.
Additive Pharmacodynamic Effects Drugs that lower the seizure threshold (e.g., certain antidepressants, antipsychotics) or other antimalarials (e.g., Quinine, Chloroquine) may increase the risk of convulsions or other central nervous system events.
Cardiac Conduction Co-administration with other QT-prolonging agents (e.g., certain antiarrhythmics) requires caution due to additive risks.

Administration Constraints

Mefloquine absorption is increased when taken with food. A minimum of 12 hours must separate Mefloquine administration from the last dose of Quinine or Quinidine when used for curative treatment. Furthermore, vaccination with attenuated live oral typhoid vaccine must be completed at least 3 days before the first dose of Mefloquine.

Mechanism of Action

Eloquine (Mefloquine) exerts its primary action as a blood schizonticide by inhibiting two essential metabolic pathways within the Plasmodium parasite’s food vacuole. The molecule accumulates in this acidic organelle and prevents the parasite from detoxifying toxic ferriprotoporphyrin IX (heme) by blocking its polymerization. The resulting buildup of toxic heme causes oxidative stress and damage to parasite membranes. Simultaneously, Mefloquine inhibits the parasite’s 80S ribosome, arresting essential protein synthesis. This dual action leads directly to the cytotoxicity and structural breakdown of the circulating parasites. Its mechanism is limited exclusively to the circulating forms and lacks activity against dormant liver forms (hypnozoites). Additionally, the drug acts as an off-target partial agonist and antagonist at host Serotonin 5-HT2A and Adenosine A2A receptors in the central nervous system, introducing a physiological consequence of modulated central neurotransmission.

Dosage and Administration Information

How Eloquine is Used: Administration Guidelines

Eloquine (Mefloquine) follows specific regimens to ensure standardized usage for its indications. The medicine is delivered as a tablet for oral consumption. The method of intake requires the tablet to be swallowed with food and at least 8 ounces (240 mL) of water; this condition of intake is used to optimize absorption and reduce potential irritation.

For patients unable to swallow the tablet whole, the tablet can be crushed and suspended in a small amount of water, milk, or beverage for consumption.


Dosing Schedules

The standard dosing regimen differs based on the clinical objective:

Purpose Adult Dosing Schedule Course Duration Notes
Malaria Prophylaxis 250 mg once weekly Must be taken on the same day each week, starting 1–2 weeks before exposure and continuing for 4 consecutive weeks after leaving the endemic area.
Acute Malaria Treatment Total dose of 1250 mg Administered as a single dose or split (750 mg initial, then 500 mg 6–12 hours later).

Population and Procedural Rules

Pediatric Administration: The dosage for children is weight-based and is calculated to not exceed the maximum adult dose for both prophylaxis and treatment.

Procedural Constraint: For prophylaxis, strict adherence to a same-day-each-week schedule is required. If the medication is vomited within 30 minutes of dosing, a full repeat dose is required; if vomiting occurs between 30 and 60 minutes, a half-dose must be readministered.

Recent Clinical Evidence

Research evidence / Overview of studies

Research Focus

The studies evaluated the drug's effect in individuals with moderate-to-severe ulcerative colitis (UC).


Study Results in Clinical Trials

Studies have been conducted for individuals who have not responded to conventional treatments. The primary results reported from the Phase 3 trials include:

  • Induction Phase (Weeks 0–16):

    • Clinical Remission: Results suggested an association with clinical remission rates following the induction period.
    • Symptom Relief: Research examined an association with relief from symptoms.
    • The primary studies examined outcomes related to levels of inflammation and indicators of mucosal healing.
  • Maintenance Phase (Up to 52 Weeks):

    • The studies examined the results for participants who responded during the induction phase through Week 52.

Dosage and Follow-up Studies

Studies evaluated a dosage of 100 mg administered every four weeks, exploring its association with maintaining remission. This was the primary dosage examined in the long-term trials.

Data also examined the relationship between a lower dosage (50 mg) and reported side effect events while exploring its relationship with symptom control. The research did not provide information regarding the duration of use.


Patient Acceptance and Quality of Life

Research exploring patient use factors noted the administration schedule as a potential benefit.

Studies also measured changes in quality of life metrics, which were evaluated in participants who achieved clinical response or remission.


Safety Profile

Long-term follow-up studies evaluated the safety profile. The research reviewed did not report finding any significant new safety signals. The most frequently reported adverse events in the studies were consistent with events expected in the patient population.

Key Studies & References

  1. Network meta-analysis of efficacy and safety of drugs for the treatment of moderate to severe ulcerative colitis - Frontiers
  2. Real-World Effectiveness and Safety of Upadacitinib in Patients with Ulcerative Colitis: A Systematic Review and Meta-Analysis

Frequently Asked Questions (FAQ)

Common questions about Eloquine (FAQ)

Q: How quickly does Eloquine start to work?

A: Official information indicates that after a single dose, the highest concentration of the active substance in the blood is typically reached within 6 to 24 hours. For prevention (prophylaxis), the medicine is taken weekly, and steady-state blood concentrations are usually achieved after 7 to 10 weeks of continuous dosing.

Q: What happens if I stop taking Eloquine suddenly?

A: Regulatory information notes that if the medicine is stopped, certain nervous system effects, such as dizziness or loss of balance, have been reported to persist for months or years afterward. Official documents describe that if certain severe psychiatric symptoms occur, discontinuation of the medicine may be considered based on the official label.

Q: How long can a person safely be on Eloquine?

A: Regulatory guidelines define the duration of use required for prevention (prophylaxis) as the entire period of exposure plus an additional four consecutive weeks after leaving the endemic area. Studies have examined the medicine’s long-term behavior in the body over two years, but official documents do not define a specific maximum duration limit for use.

Q: Is Eloquine approved for use in children?

A: Yes, according to official regulatory labeling, the medicine is approved for use in children who are 6 months of age or older, or who weigh 5 kilograms or more. Doses for children are calculated based on their body weight and cannot exceed the maximum dose for adults.

Q: Has Eloquine been studied in people with kidney issues?

A: Official documents describe that the medicine is primarily cleared from the body by the liver and through the feces. Because very little of the drug is eliminated through the kidneys, regulatory information generally focuses less on specific dosing adjustments or studies for kidney impairment.

Q: How is Eloquine eliminated from the body?

A: The medicine is extensively processed, or metabolized, by the liver, which is the main route of clearance. It is primarily removed from the body through bile and feces, with only a small portion excreted through the urine.

Q: Does the time of day I take Eloquine matter?

A: The importance of taking the medicine with food and water is noted in the official prescribing information. For weekly prevention dosing, official instructions mandate that the dose must be taken on the same specific day each week.

Q: What specific conditions must be monitored while taking Eloquine?

A: Regulatory guidance suggests caution and monitoring may be necessary for patients with impaired liver function. Additionally, because the medicine can potentially prolong the QTc interval (a measure of heart rhythm), monitoring for changes in heart rhythm may be needed, particularly when the medicine is used with other heart-affecting drugs.

Q: Do I need a prescription to get Eloquine?

A: Yes. Mefloquine, the active ingredient in Eloquine, is an established prescription drug. Official documents state that it is available only with a prescription from a healthcare professional.

Q: Can Eloquine affect sleep patterns?

A: Yes, official safety classifications list insomnia (difficulty sleeping) and nightmares as Very Common side effects. The neuropsychiatric safety profile also includes other reported effects on the nervous system like dizziness and headache.

Q: Why do some people say Eloquine made them feel jittery?

A: Official regulatory documents include restlessness, anxiety, and tremors among the known adverse reactions that are part of the medicine’s neuropsychiatric safety profile.

Q: What if I forget to take a dose of Eloquine?

A: Regulatory information advises that if a dose is missed, it should be taken as soon as it is remembered. If it is almost time for the next scheduled dose, the missed dose should be skipped to continue the regular schedule, and official guidance advises against taking a double dose.

Q: What does 'contraindication' mean regarding Eloquine?

A: In medical labeling, a 'contraindication' identifies a specific situation or pre-existing condition when the medicine must not be used because the risk of harm is considered greater than any potential benefit. For Eloquine prevention, this applies to patients with certain major psychiatric or seizure disorders.

Q: Is Eloquine used for long-term conditions or short-term treatment?

A: The medicine is approved for two primary purposes: short-term treatment of an acute malaria infection and prophylaxis (prevention). Prevention requires a course of weekly dosing over the duration of travel and an additional four weeks afterward.

Q: Does Eloquine have a high potential for dependence?

A: Official regulatory safety documents do not report or indicate that the medicine has habit-forming tendencies or a potential for dependence.

Q: Can Eloquine cause changes in appetite or weight?

A: Official documents list loss of appetite (anorexia) as a reported adverse event associated with the medicine.

Q: How should I store Eloquine?

A: Official information states that the tablets must be stored in the container they came in at Controlled Room Temperature (between 20°C and 25°C). They must be kept away from excess heat and moisture, and securely out of the sight and reach of children.

Q: Is Eloquine affected by alcohol consumption?

A: Official patient information advises caution, stating that consuming alcohol may worsen certain side effects of the medicine, particularly the potential for dizziness, drowsiness, or loss of balance.

Q: Can Eloquine be taken if I have a history of heart problems?

A: Due to the potential for QTc interval prolongation (a heart rhythm issue), official documents advise caution, and use should be avoided in patients with certain pre-existing cardiac diseases. Regulatory documents indicate that the potential benefits and risks should be weighed in such clinical situations.

Q: What is the typical duration of treatment with Eloquine?

A: For acute malaria treatment, the total curative dose is administered quickly, often as a single dose or split into two doses taken a few hours apart. For prevention (prophylaxis), the medicine is taken weekly for the duration of travel and continued for four consecutive weeks after leaving the endemic area.

Q: Does Eloquine have known effects on mood?

A: Yes. The official neuropsychiatric safety profile includes reported adverse reactions affecting mood, such as anxiety, depression, psychotic disorders, and instances of suicidal ideation or behavior.

Q: Are there official warnings about taking Eloquine before driving?

A: Yes. Official warnings advise caution regarding activities that require alertness and fine motor coordination, such as driving or operating machinery. This is because adverse effects like dizziness, loss of balance, or other nervous system disorders have been reported.

Q: Is Eloquine primarily used for infections or inflammatory conditions?

A: The medicine is primarily classified as an antimalarial agent. Its main use, according to regulatory documents, is for the prevention and treatment of infections caused by the Plasmodium parasites that cause malaria.

Q: What if Eloquine doesn't seem to be working for me?

A: Official guidelines advise that if symptoms of the condition being treated do not improve within a few days, or if they worsen, official guidelines advise checking with a doctor.

Q: Can taking Eloquine affect the results of blood tests?

A: The medicine has been associated with changes in certain blood cell counts, such as a temporary decrease in white or red blood cells. It has also been linked to a transient elevation of liver enzymes, which may be reflected in routine blood work.

Q: How does the government track the safety of Eloquine after approval?

A: Government agencies track the safety of medicines after approval by encouraging patients and healthcare professionals to report any side effects they experience. This is done through official voluntary reporting programs, such as the FDA's MedWatch program.

Q: What is the evidence regarding Eloquine and long-term side effects?

A: Regulatory documents include a specific warning about the potential for serious neuropsychiatric effects. These include dizziness and loss of balance, which have been reported to persist for months or even years after the medicine has been stopped.

Q: Do most patients tolerate Eloquine well?

A: Official safety profiles document a range of adverse reactions, listing very common effects (e.g., insomnia, nightmares) and less common, but serious, neuropsychiatric effects. The likelihood of experiencing side effects is detailed by frequency in the official labeling.

Q: Is Eloquine related to or derived from any natural substances?

A: The active ingredient, Mefloquine, is described as a synthetic organic compound. Chemically, it is related to quinine, which is an older anti-malarial substance that was originally derived from cinchona bark.

How should Eloquine be stored and disposed of?

How to Store and Dispose of Eloquine (Mefloquine Hydrochloride)

Eloquine tablets must be maintained at Controlled Room Temperature, specifically between 20°C and 25°C (68°F and 77°F), with permitted temperature excursions up to 30°C.

Storage Requirements

  • Environmental Protection: The medicine must be kept away from excess heat and moisture; therefore, storage in the bathroom is typically advised against.
  • Container Integrity: Keep the tablets in the container they came in, ensuring the container remains tightly closed.
  • Child Safety: For safety, the medication must be stored securely out of the sight and reach of children.

Disposal Instructions

Unused or expired Eloquine should not be flushed down the toilet or poured down a sink. The preferred method for disposal is utilizing a community drug take-back program. If a take-back program is unavailable, the tablets should be mixed with an undesirable substance, placed in a sealed bag or container, and discarded in the household trash. Identifying information must be removed from the original label before disposal.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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